Laserfiche WebLink
e��erett , .1 ,_ <br /> � g- .ZB -- - . <br /> City nf Everett ' <br /> Enpineering Oepartment <br /> Sewer Application and Permit <br /> N0. C I _• 1� _' DATE <br /> Service Address�J�� Utility Account No. — <br /> Billing Address Connection Permit Fee <br /> �ity,State, Zip Connection Fee <br /> Owner (Mortgagor) ___ Total Fee_ . <br /> Billing Name <br /> Connection By __ <br /> Address Signed <br /> Cusromer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot r'� <br /> � Monthly Sewer Service <br /> Block <br /> Division or Addition_ Manthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: [�r �� <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City Enpineer <br /> —' Issued By <br /> Inspection By�-��/ <br /> Date Inspected_ �o ' � —r °� � <br /> e <br /> SEE SKETCH ATTACHED N0. �� 1 �, C .; <br /> � .. <br />